Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $60.26	Facility		$32.36	$32.36	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $51.29	Professional		$25.12	$28.84	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.70 / $25.70	Professional		$24.55	$25.70	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $87.10	Facility		$36.31	$36.31	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $48.98	Professional		$21.88	$38.90	$48.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $60.26	Facility		$32.36	$32.36	$60.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $46.77	Professional		$25.70	$32.36	$46.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $41.69	Professional		$19.95	$24.55	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.88 / $33.88	Facility		$16.98	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $25.70	Professional		$11.75	$15.85	$25.70